Post-primary pulmonary tuberculosis
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Severe bronchiectasis, cavitation and alveolar consolidation are noted at the upper lobe of left lung. Endobronchial spread along nearby airways is seen resulting in a relatively well-defined 2-4 mm nodules and branching lesions (tree-in-bud appearance). There are is also mediastinal lymphadenopathy.
Features are consistent of post-primary pulmonary tuberculosis.